Template:Neonatal jaundice evaluation

Neonatal jaundice workup

The most important component of the workup is differention of direct vs indirect bilirubinemia

• Total and direct bilirubin levels ("neonatal bilirubin")
• CBC (for evaluation of hemolytic anemia or polycythemia vera)
• Consider coombs or T&S (mom & baby)

Neonatal jaundice diagnosis

1. Determine if there are red flags or obvious diagnosis based on history and exam
   • Mother's blood type (important if mother is RH negative or O blood type)
   • Assess for any signs of decreasing oral intake or signs of dehydration?
   • Baby's general appearance (well appearing? evidence of sepsis?)
2. Determine bilirubinemia type: direct vs indirect
   • Direct
     • Admit
   • Indirect
     • Determine risk category
       • See table below
     • Determine if patient is above of below bilirubin cutoff by age and risk category
       • See table below or use BiliTool or phototherapy guide